Park Avenue Pulmonary Care PLLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

155703 Issued in NY

Legal business name

PARK AVENUE PULMONARY CARE PLLC

Practice address

1130 Park Avenue
Suite #3
New York, NY 10128

Phone

(212) 289-3627

NPI assigned

May 3, 2007

Last updated

Nov 24, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Louis R Depalo, M.D.

Title

Partner

Phone

(212) 289-3627

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1063624260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 PARK AVENUE",
            "address_2": "SUITE #3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "212-289-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 PARK AVENUE",
            "address_2": "SUITE #3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "212-289-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE PULMONARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "DEPALO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "212-289-3627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "155703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Avenue Podiatric Care PLLC
• Park Avenue Podiatry Associates PC (Professional Corp)
• Park Avenue Premier Surgical
• Park Avenue Psychotherapy LCSW PC
• Park Avenue Pulmonary Associates
• Park Avenue Radiologists, P.C.
• Park Avenue Specialty Care Office Based Plastic Surgery, PLLC
• Park Avenue Sports Medicine & Rehabilitation PC
• Park Avenue Surgical Associates, P.C.
• Park Avenue Surgical PLLC

• Pulmonary Disease Physician in New York, NY
• Providers in New York, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.